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NPI 1952432437

NPI 1952432437 : RENE P GRABATO MD PA : PAMPA, TX

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General NPI Number Information
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    NPI Number           |    1952432437
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    Entity Type          |    Organization 
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    Legal Business Name  |    RENE P GRABATO MD PA 
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Dates
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    Enumeration Date     |    03/08/2007
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    Last Update Date     |    06/17/2008
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Provider Practice Location Address
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    Address Line         |    2931 PERRYTON PKWY 
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    City                 |    PAMPA
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    State                |    TX
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    Zip                  |    79065-2823
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    Country              |    US
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    Telephone            |    806-665-6511
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    Fax                  |    806-665-3717
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Provider Business Mailing Address
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    Address Line         |    2931 PERRYTON PKWY 
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    City                 |    PAMPA
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    State                |    TX
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    Zip                  |    79065-2823
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    Country              |    US
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    Telephone            |    806-665-6511
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    Fax                  |    806-665-3717
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. RENE P. GRABATO 
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    Credential           |    MD
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    Telephone            |    806-665-6511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    F1035
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    License Number State |    TX
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